Organization
SHORE EDUCATIONAL COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN LUCIA (DIRECTOR OF FINANCE)
(617) 887-2930
Entity
Organization
Contact information
Practice address
100 REVERE BEACH PKWY, CHELSEA, MA 02150-1543
(617) 887-2930
(617) 887-2022
Mailing address
100 REVERE BEACH PKWY, CHELSEA, MA 02150-1543
(617) 887-2930
(617) 887-2022
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300334
—
MA
05
—
1300750
—
MA
05
—
1308947
—
MA
05
—
1319272
—
MA
Enumeration date
03/06/2007
Last updated
06/23/2008
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